Taenia crassiceps

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Taenia crassiceps
2009-02-24 Taenia crassiceps.jpg
Taenia crassiceps larvae
Scientific classification Red Pencil Icon.png
Kingdom: Animalia
Phylum: Platyhelminthes
Class: Cestoda
Order: Cyclophyllidea
Family: Taeniidae
Genus: Taenia
Species:
T. crassiceps
Binomial name
Taenia crassiceps
(Zeder, 1800)

Taenia crassiceps is a tapeworm in the family Taeniidae. It is a parasitic organism whose adult form infects the intestine of carnivores, like canids. It is related to Taenia solium , the pork tapeworm, and to Taenia saginata , the beef tapeworm. It is commonly found in the Northern Hemisphere, especially throughout Canada and the northern United States.

Contents

Natural intermediate hosts of this organism are usually small rodents and moles. The larval stages of T. crassiceps develop subcutaneously or in their body cavities as cysticerci which are cyst-like structures. [1]

Taenia crassiceps begins its life in the intestines of wild canines, such as the wolf. Inside the wolf, the tapeworm reproduces. Its eggs are passed in the wolf's feces and are eaten by a rat. When the rat is eaten by another wolf, the parasite's life cycle repeats. Taenia crassiceps rarely infect humans, but if they do, they often cause ocular larva migrans that can progress to blindness. An adult human's immune system typically removes the parasite before permanent damage is done, however, juveniles are typically less defended.

Human pathologies

Taenia crassiceps is described as an opportunistic infection in severe immunodeficiency, as in AIDS. [2] But human infection are rare, with only eight cases reported and individuals who were infected tended to be immunosuppressed patients where parasites accumulated on skeletal muscles and subcutaneous tissue, and some with intraocular infections. [3] Rodents are natural intermediate hosts, and they harbor the cyst-like larvae (metacestodes, cysticerci) in the peritoneal cavity, where they multiply by asexual budding. Humans serve as intermediate hosts when food or water contaminated with feces from infected canids or felids is consumed. [4]

Cranial MRI of the German woman as described. A- Transverse view, T1-weighted MR image. The 30 x 30 mm parasitic lesion with perifocal edema is located in the right hemisphere of the cerebellum and caused ataxia, headache, and nausea. The fourth ventricle is compressed. B- Coronal view, T2-weighted MR image. The cyst-like appearance of the parasitic tissue is clearly visible. This lesion can be misinterpreted as cerebral echinococcosis, racemose cysticercosis caused by a Taenia solium tapeworm, or coenurosis. C- Sagittal view, MR image with contrast enhancing agent. D- Transverse view, computed tomographic image after surgery. Cerebral MRI of Taenia Crassiceps tapeworm infection.jpg
Cranial MRI of the German woman as described. A- Transverse view, T1-weighted MR image. The 30 × 30 mm parasitic lesion with perifocal edema is located in the right hemisphere of the cerebellum and caused ataxia, headache, and nausea. The fourth ventricle is compressed. B- Coronal view, T2-weighted MR image. The cyst-like appearance of the parasitic tissue is clearly visible. This lesion can be misinterpreted as cerebral echinococcosis, racemose cysticercosis caused by a Taenia solium tapeworm, or coenurosis. C- Sagittal view, MR image with contrast enhancing agent. D- Transverse view, computed tomographic image after surgery.

A case of intracranial T. crassiceps tapeworm cysticercosis with severe involvement of the cerebellum is described. A 51-year-old German woman was hospitalized because of progressive headache, nausea, and vomiting. The signs and symptoms had started 2 weeks before, and intensity had been increasing ever since. At the time of admission, the patient showed cerebellar ataxia but no further neurologic deficits. She did not have fever or other symptoms. She had no known chronic preconditions or recent hospital stays and had never taken immunosuppressant drugs. She had no family history of neurologic symptoms or malignant diseases. Combined surgical removal of the larvae and treatment with albendazole and praziquantel led to a complete cure in this nonimmunocompromised patient. The organism was unequivocally identified by molecular methods, thus avoiding a misdiagnosis of Taenia solium tapeworm cysticercosis. [5]

Symptoms

There may be no symptoms. Symptoms may include: Headaches, Nausea, and Vomiting [6]

Laboratory studies

Positive test results from a serum enzyme-linked immunosorbent assay ELISA for anticysticercal antibodies help confirm the diagnosis; however, negative test results do not exclude cysticercosis. A CBC count may reveal eosinophilia. [7]

Treatments

Surgical removal is mandatory for individuals with intraoscular cysts. Oscular cysticercosis can be effectively treated with Anthelminthics such as Albendazole or Praziquantel, oral corticosteroids. [8]

Immunoregulation

The immune response elicited by T. crassiceps and its antigens in human and mice cells were studied, suggesting that it had a strong capacity to induce chronic Th2-type responses that are primarily characterized by high levels of Th2 cytokines, low proliferative response in lymphocytic cells, immature and LPS-tolerogenic profile in dendritic cells, the recruitment of myeloid-derived suppressor cells, and activated macrophages. [9]

Related Research Articles

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Echinococcosis is a parasitic disease of tapeworms of the Echinococcus type. The two main types of the disease are cystic echinococcosis and alveolar echinococcosis. Less common forms include polycystic echinococcosis and unicystic echinococcosis.

<span class="mw-page-title-main">Cysticercosis</span> Tissue infection caused by the young form of the pork tapeworm

Cysticercosis is a tissue infection caused by the young form of the pork tapeworm. People may have few or no symptoms for years. In some cases, particularly in Asia, solid lumps of between one and two centimetres may develop under the skin. After months or years these lumps can become painful and swollen and then resolve. A specific form called neurocysticercosis, which affects the brain, can cause neurological symptoms. In developing countries this is one of the most common causes of seizures.

<span class="mw-page-title-main">Praziquantel</span> Medication

Praziquantel (PZQ), sold under the brandname Biltricide among others, is a medication used to treat a number of types of parasitic worm infections in mammals, birds, amphibians, reptiles, and fish. In humans specifically, it is used to treat schistosomiasis, clonorchiasis, opisthorchiasis, tapeworm infections, cysticercosis, echinococcosis, paragonimiasis, fasciolopsiasis, and fasciolosis. It should not be used for worm infections of the eye. It is taken by mouth.

<span class="mw-page-title-main">Albendazole</span> Chemical compound

Albendazole is a broad-spectrum anthelmintic and antiprotozoal agent of the benzimidazole type. It is used for the treatment of a variety of intestinal parasite infections, including ascariasis, pinworm infection, hookworm infection, trichuriasis, strongyloidiasis, taeniasis, clonorchiasis, opisthorchiasis, cutaneous larva migrans, giardiasis, and gnathostomiasis, among other diseases.

<i>Taenia solium</i> Species of Cestoda

Taenia solium, the pork tapeworm, belongs to the cyclophyllid cestode family Taeniidae. It is found throughout the world and is most common in countries where pork is eaten. It is a tapeworm that uses humans as its definitive host and pigs as the intermediate or secondary hosts. It is transmitted to pigs through human feces that contain the parasite eggs and contaminate their fodder. Pigs ingest the eggs, which develop into larvae, then into oncospheres, and ultimately into infective tapeworm cysts, called cysticercus. Humans acquire the cysts through consumption of uncooked or under-cooked pork and the cysts grow into an adult worms in the small intestine.

<i>Taenia</i> (tapeworm) Genus of flatworms

Taenia is the type genus of the Taeniidae family of tapeworms. It includes some important parasites of livestock. Members of the genus are responsible for taeniasis and cysticercosis in humans, which are types of helminthiasis belonging to the group of neglected tropical diseases. More than 100 species are recorded. They are morphologically characterized by a ribbon-like body composed of a series of segments called proglottids; hence the name Taenia. The anterior end of the body is the scolex. Some members of the genus Taenia have an armed scolex ; of the two major human parasites, Taenia saginata has an unarmed scolex, while Taenia solium has an armed scolex.

<i>Taenia saginata</i> Species of flatworm

Taenia saginata, commonly known as the beef tapeworm, is a zoonotic tapeworm belonging to the order Cyclophyllidea and genus Taenia. It is an intestinal parasite in humans causing taeniasis and cysticercosis in cattle. Cattle are the intermediate hosts, where larval development occurs, while humans are definitive hosts harbouring the adult worms. It is found globally and most prevalently where cattle are raised and beef is consumed. It is relatively common in Africa, Europe, Southeast Asia, South Asia, and Latin America. Humans are generally infected as a result of eating raw or undercooked beef which contains the infective larvae, called cysticerci. As hermaphrodites, each body segment called proglottid has complete sets of both male and female reproductive systems. Thus, reproduction is by self-fertilisation. From humans, embryonated eggs, called oncospheres, are released with faeces and are transmitted to cattle through contaminated fodder. Oncospheres develop inside muscle, liver, and lungs of cattle into infective cysticerci.

<i>Echinococcus granulosus</i> Species of flatworm

Echinococcus granulosus, also called the hydatid worm, hyper tape-worm or dog tapeworm, is a cyclophyllid cestode that dwells in the small intestine of canids as an adult, but which has important intermediate hosts such as livestock and humans, where it causes cystic echinococcosis, also known as hydatid disease. The adult tapeworm ranges in length from 3 mm to 6 mm and has three proglottids ("segments") when intact—an immature proglottid, mature proglottid and a gravid proglottid. The average number of eggs per gravid proglottid is 823. Like all cyclophyllideans, E. granulosus has four suckers on its scolex ("head"), and E. granulosus also has a rostellum with hooks. Several strains of E. granulosus have been identified, and all but two are noted to be infective in humans.

<i>Echinococcus multilocularis</i> Species of flatworm

Echinococcus multilocularis is a small cyclophyllid tapeworm found extensively in the northern hemisphere. E. multilocularis, along with other members of the Echinococcus genus, produce diseases known as echinococcosis. Unlike E. granulosus,E. multilocularis produces many small cysts that spread throughout the internal organs of the infected animal. The resultant disease is called Alveolar echinococcosis, and is caused by ingesting the eggs of E. multilocularis.

<i>Taenia pisiformis</i> Species of flatworm

Taenia pisiformis, commonly called the rabbit tapeworm, is an endoparasitic tapeworm which causes infection in lagomorphs, rodents, and carnivores. Adult T. pisiformis typically occur within the small intestines of the definitive hosts, the carnivores. Lagomorphs, the intermediate hosts, are infected by fecal contamination of grasses and other food sources by the definitive hosts. The larval stage is often referred to as Cysticercus pisiformis and is found on the livers and peritoneal cavities of the intermediate hosts. T. pisiformis can be found worldwide.

<span class="mw-page-title-main">Taeniasis</span> Parasitic disease due to infection with tapeworms belonging to the genus Taenia

Taeniasis is an infection within the intestines by adult tapeworms belonging to the genus Taenia. There are generally no or only mild symptoms. Symptoms may occasionally include weight loss or abdominal pain. Segments of tapeworm may be seen in the stool. Complications of pork tapeworm may include cysticercosis.

<span class="mw-page-title-main">Eucestoda</span> Subclass of flatworms

Eucestoda, commonly referred to as tapeworms, is the larger of the two subclasses of flatworms in the class Cestoda. Larvae have six posterior hooks on the scolex (head), in contrast to the ten-hooked Cestodaria. All tapeworms are endoparasites of vertebrates, living in the digestive tract or related ducts. Examples are the pork tapeworm with a human definitive host, and pigs as the secondary host, and Moniezia expansa, the definitive hosts of which are ruminants.

Sparganosis is a parasitic infection caused by the plerocercoid larvae of the genus Spirometra including S. mansoni, S. ranarum, S. mansonoides and S. erinacei. It was first described by Patrick Manson from China in 1882, and the first human case was reported by Charles Wardell Stiles from Florida in 1908. The infection is transmitted by ingestion of contaminated water, ingestion of a second intermediate host such as a frog or snake, or contact between a second intermediate host and an open wound or mucous membrane. Humans are the accidental hosts in the life cycle, while dogs, cats, and other mammals are definitive hosts. Copepods are the first intermediate hosts, and various amphibians and reptiles are second intermediate hosts.

<span class="mw-page-title-main">Neurocysticercosis</span> Cysticercosis of the brain

Neurocysticercosis is a specific form of the infectious parasitic disease cysticercosis that is caused by the infection with Taenia solium, a tapeworm found in pigs. Neurocysticercosis occurs when cysts formed by the infection take hold within the brain, causing neurologic syndromes such as epileptic seizures. It is a common cause of seizures worldwide. It has been called a "hidden epidemic" and "arguably the most common parasitic disease of the human nervous system". Common symptoms of neurocysticercosis include seizures, headaches, blindness, meningitis and dementia.

<span class="mw-page-title-main">Coenurosis in humans</span>

Coenurosis is a parasitic infection that results when humans ingest the eggs of dog tapeworm species Taenia multiceps, T. serialis, T. brauni, or T. glomerata.

Taenia asiatica, commonly known as Asian taenia or Asian tapeworm, is a parasitic tapeworm of humans and pigs. It is one of the three species of Taenia infecting humans and causes taeniasis. Discovered only in 1980s from Taiwan and other East Asian countries as an unusual species, it is so notoriously similar to Taenia saginata, the beef tapeworm, that it was for a time regarded as a slightly different strain. But anomaly arose as the tapeworm is not of cattle origin, but of pigs. Morphological details also showed significant variations, such as presence of rostellar hooks, shorter body, and fewer body segments. The scientific name designated was then Asian T. saginata. But the taxonomic consensus turns out to be that it is a unique species. It was in 1993 that two Korean parasitologists, Keeseon S. Eom and Han Jong Rim, provided the biological bases for classifying it into a separate species. The use of mitochondrial genome sequence and molecular phylogeny in the late 2000s established the taxonomic status.

<span class="mw-page-title-main">Coenurosis</span> Parasitic disease

Coenurosis, also known as caenurosis, coenuriasis, gid or sturdy, is a parasitic infection that develops in the intermediate hosts of some tapeworm species. It is caused by the coenurus, the larval stage of these tapeworms. The disease occurs mainly in sheep and other ungulates, but it can also occur in humans by accidental ingestion of tapeworm eggs.

Taenia serialis, also known as a canid tapeworm, is found within canines such as foxes and dogs. Adult T. serialis are parasites of carnivores, particularly dogs, with herbivorous lagomorph mammals such as rabbits and hares, serving as intermediate hosts. In definitive hosts, T. serialis is acquired by eating tissues from a variety of intermediate hosts. Accidental infection of humans though, can occur when eggs are ingested from food or water contaminated with dog feces and the human then becomes the T. serialis intermediate host.

<i>Taenia hydatigena</i> Species of flatworm

Taenia hydatigena is one of the adult forms of the canine and feline tapeworm. This infection has a worldwide geographic distribution. Humans with taeniasis can infect other humans or animal intermediate hosts by eggs and gravid proglottids passed in the feces.

<span class="mw-page-title-main">Cysticercus</span> Larval tapeworm

Cysticercus is a scientific name given to the young tapeworms (larvae) belonging to the genus Taenia. It is a small, sac-like vesicle resembling a bladder; hence, it is also known as bladder worm. It is filled with fluid, in which the main body of the larva, called scolex, resides. It normally develops from the eggs, which are ingested by the intermediate hosts, such as pigs and cattle. The tissue infection is called cysticercosis. Inside such hosts, they settle in the muscles. When humans eat raw or undercooked pork or beef that is contaminated with cysticerci, the larvae grow into adult worms inside the intestine. Under certain circumstances, specifically for the pork tapeworm, the eggs can be accidentally eaten by humans through contaminated foodstuffs. In such case, the eggs hatch inside the body, generally moving to muscles as well as inside the brain. Such brain infection can lead to a serious medical condition called neurocysticercosis. This disease is the leading cause of acquired epilepsy.

References

Includes public domain text from the CDC as cited

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  2. Francois, A (1998). "Taenia crassiceps in advanced immuno deficiency syndrome". Am. J. Surg. Pathol. 22 (4): 488–92. doi:10.1097/00000478-199804000-00015. PMID   9537478.
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  4. Heldwein, K; Biedermann, HG; Hamperl, WD; Bretzel, G; Löscher, T; Laregina, D; Frosch, M; Büttner, DW; Tappe, D (2006). "Subcutaneous Taenia crassiceps infection in a patient with non-Hodgkin's lymphoma". Am. J. Trop. Med. Hyg. 75 (1): 108–11. doi: 10.4269/ajtmh.2006.75.108 . PMID   16837716.
  5. Ntoukas V, Tappe D, Pfütze D, Simon M, Holzmann T. Cerebellar cysticercosis caused by larval Taenia crassiceps tapeworm in immunocompetent woman, Germany. Emerg Infect Dis 2013 Dec [December 16, 2013]. doi : 10.3201/eid1912.130284
  6. Ntoukas V, Tappe D, Pfütze D, Simon M, Holzmann T. Cerebellar cysticercosis caused by larval Taenia crassiceps tapeworm in immunocompetent woman, Germany. Emerg Infect Dis 2013 Dec [December 16, 2013]. doi : 10.3201/eid1912.130284
  7. Ocular Cysticercosis~workup at eMedicine
  8. Ocular Cysticercosis~treatment at eMedicine
  9. Peon, Espinoza-Jimenez, Terrazas, Alberto N., Arlette, Luis I. (14 November 2012). "Immunoregulation by Taenia crassiceps and Its Antigens". BioMed Research International. Hindawi. 2013: 498583. doi: 10.1155/2013/498583 . PMC   3591211 . PMID   23484125.{{cite journal}}: CS1 maint: multiple names: authors list (link)